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style="display:inline-block;width:35%;" title="CM-0-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否出院后31天内重复住院</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463680735767506946" itemCode="CM-0-1-5"></div><a id="1463680735767506946_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680735767506946_Note"></span></div><p title="相关日期时间信息" class="itemsubCat">相关日期时间信息</p><div class="itemTR" id="1463680737667526657_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680737667526657" itemCode="CM-0-2-1-1"><a id="1463680737667526657_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680737667526657_Note"></span></div><div class="itemTR" id="1463680739492048898_Row" dic='[{"formItemId":1463680739492048898,"isDefault":0,"updateDate":1700188352000,"code":"M","id":1463681065737596930,"indNo":1,"isActive":1,"desc":"男"},{"formItemId":1463680739492048898,"isDefault":0,"updateDate":1700188352000,"code":"F","id":1463681066400296962,"indNo":2,"isActive":1,"desc":"女"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者性别</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463680739492048898" itemCode="CM-0-2-1-2"></div><a id="1463680739492048898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680739492048898_Note"></span></div><div class="itemTR" id="1463680741312376834_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者体重（kg）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680741312376834" itemCode="CM-0-2-1-3"><a id="1463680741312376834_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680741312376834_Note"></span></div><div class="itemTR" id="1463680743115927554_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680743115927554" itemCode="CM-0-2-1-5"><a id="1463680743115927554_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680743115927554_Note"></span></div><div class="itemTR" id="1463680744936255490_Row" dic='[{"formItemId":1463680744936255490,"isDefault":0,"updateDate":1700188352000,"code":"UTD","id":1463681067738279938,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-1" class="itemDescTD">发病日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463680744936255490" itemCode="CM-0-2-2-1"></div><a id="1463680744936255490_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680744936255490_Note"></span></div><div class="itemTR" id="1463680746798526466_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发病日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680746798526466" itemCode="CM-0-2-2-2"><a id="1463680746798526466_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680746798526466_Note"></span></div><div class="itemTR" id="1463680748602077186_Row" dic='[{"formItemId":1463680748602077186,"isDefault":0,"updateDate":1700188352000,"code":"UTD","id":1463681069504081921,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-1" class="itemDescTD">到达本院急诊或者门诊日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463680748602077186" itemCode="CM-0-2-3-1"></div><a id="1463680748602077186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680748602077186_Note"></span></div><div class="itemTR" id="1463680750451765250_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到达本院急诊或者门诊日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680750451765250" itemCode="CM-0-2-3-2"><a id="1463680750451765250_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680750451765250_Note"></span></div><div class="itemTR" id="1463680752246927361_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680752246927361" itemCode="CM-0-2-4-1"><a id="1463680752246927361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680752246927361_Note"></span></div><div class="itemTR" id="1463680754050478081_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680754050478081" itemCode="CM-0-2-4-2"><a id="1463680754050478081_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680754050478081_Note"></span></div><div class="itemTR" id="1463680755879194626_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-5-1" class="itemDescTD">入住ICU/RICU日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680755879194626" itemCode="CM-0-2-5-1"><a id="1463680755879194626_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680755879194626_Note"></span></div><div class="itemTR" id="1463680757707911170_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-5-2" class="itemDescTD">离开ICU/RICU日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680757707911170" itemCode="CM-0-2-5-2"><a id="1463680757707911170_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680757707911170_Note"></span></div><p title="其他相关信息" class="itemsubCat">其他相关信息</p><div class="itemTR" id="1463680759540822017_Row" 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dic='[{"formItemId":1463680761394704385,"isDefault":0,"updateDate":1700188352000,"code":"def","id":1463681079503302657,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463680761394704385,"isDefault":0,"updateDate":1700188352000,"code":"a","id":1463681080166002689,"indNo":2,"isActive":1,"desc":"门诊"},{"formItemId":1463680761394704385,"isDefault":0,"updateDate":1700188352000,"code":"b","id":1463681080870645761,"indNo":3,"isActive":1,"desc":"急诊"},{"formItemId":1463680761394704385,"isDefault":0,"updateDate":1700188352000,"code":"c","id":1463681081604648961,"indNo":4,"isActive":1,"desc":"其他医疗机构转入"},{"formItemId":1463680761394704385,"isDefault":0,"updateDate":1700188352000,"code":"d","id":1463681082279931905,"indNo":5,"isActive":1,"desc":"院内其他临床科室转入"},{"formItemId":1463680761394704385,"isDefault":0,"updateDate":1700188352000,"code":"e","id":1463681082967797762,"indNo":6,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收入住院途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680761394704385" itemCode="CM-0-3-2"><a id="1463680761394704385_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680761394704385_Note"></span></div><div class="itemTR" id="1463680763273752578_Row" dic='[{"formItemId":1463680763273752578,"isDefault":0,"updateDate":1700188352000,"code":"def","id":1463681084360306689,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463680763273752578,"isDefault":0,"updateDate":1700188352000,"code":"a","id":1463681085031395330,"indNo":2,"isActive":1,"desc":"救护车"},{"formItemId":1463680763273752578,"isDefault":0,"updateDate":1700188352000,"code":"b","id":1463681085702483969,"indNo":3,"isActive":1,"desc":"出租车"},{"formItemId":1463680763273752578,"isDefault":0,"updateDate":1700188352000,"code":"c","id":1463681086386155522,"indNo":4,"isActive":1,"desc":"私家车"},{"formItemId":1463680763273752578,"isDefault":0,"updateDate":1700188352000,"code":"d","id":1463681087053049857,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院交通工具</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680763273752578" itemCode="CM-0-3-3"><a id="1463680763273752578_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680763273752578_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('CAC-1: 患者入院病情评估')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CAC-1: 患者入院病情评估</div><div title="CAC-1: 患者入院病情评估"><p title="入院后首次患者病情严重程度的分级 评估" class="itemsubCat">入院后首次患者病情严重程度的分级 评估</p><div class="itemTR" id="1463680765123440641_Row" dic='[{"formItemId":1463680765123440641,"isDefault":1,"updateDate":1704414459000,"code":"y","matchRule":"","updateUser":"admin","id":1463681088391032834,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463680765123440641,"isDefault":0,"updateDate":1704414459000,"code":"n","matchRule":"","updateUser":"admin","id":1463681089062121474,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CAC-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后是否实施首次病情严重程度评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463680765123440641" itemCode="CAC-1-1-1"></div><a id="1463680765123440641_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680765123440641_Note"></span></div><div class="itemTR" id="1463680766960545794_Row" dic='[{"formItemId":1463680766960545794,"isDefault":0,"updateDate":1700188352000,"code":"def","id":1463681090408493057,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463680766960545794,"isDefault":0,"updateDate":1700188352000,"code":"a","id":1463681091066998785,"indNo":2,"isActive":1,"desc":"间歇状态（第 1 级）"},{"formItemId":1463680766960545794,"isDefault":0,"updateDate":1700188352000,"code":"b","id":1463681091746476034,"indNo":3,"isActive":1,"desc":"轻度持续（第 2 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style="width:35%;border:0;height:28px;line-height:28px;" id="1463680770601201665" itemCode="CAC-1-2-2"><a id="1463680770601201665_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680770601201665_Note"></span></div><p title="具有急性发作风险的高危患者评估" class="itemsubCat">具有急性发作风险的高危患者评估</p><div class="itemTR" id="1463680772526387202_Row" dic='[{"formItemId":1463680772526387202,"isDefault":1,"updateDate":1704414490000,"code":"y","matchRule":"","updateUser":"admin","id":1463681100726480898,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463680772526387202,"isDefault":0,"updateDate":1704414490000,"code":"n","matchRule":"","updateUser":"admin","id":1463681101380792322,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CAC-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否对具有急性发作风险的高危患者评估</div><div class="RadioGroup" 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name="isNeeded" style="color:red">*</span>糖皮质激素选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680807301361666" itemCode="CAC-5-1-2"><a id="1463680807301361666_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680807301361666_Note"></span></div><div class="itemTR" id="1463680810212208641_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CAC-5-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他糖皮质激素治疗途径</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680810212208641" itemCode="CAC-5-1-2-1"><a id="1463680810212208641_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680810212208641_Note"></span></div><p title="全身糖皮质激素使用天数" class="itemsubCat">全身糖皮质激素使用天数</p><div class="itemTR" id="1463680812095451137_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CAC-5-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>全身糖皮质激素使用医嘱起始日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680812095451137" itemCode="CAC-5-2-1"><a id="1463680812095451137_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680812095451137_Note"></span></div><div class="itemTR" id="1463680814544924674_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CAC-5-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>全身糖皮质激素使用医嘱终止日期</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680814544924674" itemCode="CAC-5-2-2"><a id="1463680814544924674_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680814544924674_Note"></span></div></div><div class="itemCat" id="Title6" onclick="objScreen.toggle('CAC-6: 控制药物使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CAC-6: 控制药物使用情况</div><div title="CAC-6: 控制药物使用情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463680819410317314_Row" dic='[{"formItemId":1463680819410317314,"isDefault":1,"updateDate":1704416491000,"code":"y","matchRule":"","updateUser":"admin","id":1463681147983704065,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463680819410317314,"isDefault":0,"updateDate":1704416491000,"code":"n","matchRule":"","updateUser":"admin","id":1463681148646404097,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CAC-6-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者病情稳定出院前是否开始应用控制性药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463680819410317314" itemCode="CAC-6-1-1"></div><a id="1463680819410317314_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680819410317314_Note"></span></div><div class="itemTR" id="1463680821373251586_Row" dic='[{"formItemId":1463680821373251586,"isDefault":0,"updateDate":1704416472000,"code":"a","matchRule":"","updateUser":"admin","id":1463681149996969986,"indNo":1,"isActive":1,"keyword":"","desc":"ICS 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style="display:inline-block;width:35%;" title="CAC-6-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>控制药物使用情况</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463680821373251586" itemCode="CAC-6-2-1"></div><a id="1463680821373251586_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680821373251586_Note"></span></div><div class="itemTR" id="1463680823294242817_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CAC-6-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他控制药物使用情况</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680823294242817" itemCode="CAC-6-2-1-1"><a id="1463680823294242817_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680823294242817_Note"></span></div></div><div class="itemCat" id="Title7" onclick="objScreen.toggle('CAC-7: 茶碱制剂使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CAC-7: 茶碱制剂使用情况</div><div title="CAC-7: 茶碱制剂使用情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463680825143930881_Row" dic='[{"formItemId":1463680825143930881,"isDefault":1,"updateDate":1704416699000,"code":"y","matchRule":"","updateUser":"admin","id":1463681155302764546,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463680825143930881,"isDefault":0,"updateDate":1704416699000,"code":"n","matchRule":"","updateUser":"admin","id":1463681155957075970,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CAC-7-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否使用静脉茶碱</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463680825143930881" itemCode="CAC-7-1-1"></div><a id="1463680825143930881_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680825143930881_Note"></span></div><div class="itemTR" id="1463680828004446209_Row" dic='[{"formItemId":1463680828004446209,"isDefault":0,"updateDate":1704416583000,"code":"def","matchRule":"","updateUser":"admin","id":1463681157286670338,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463680828004446209,"isDefault":0,"updateDate":1704416583000,"code":"a","matchRule":"","updateUser":"admin","id":1463681157974536194,"indNo":2,"isActive":1,"keyword":"","desc":"氨茶碱"},{"formItemId":1463680828004446209,"isDefault":1,"updateDate":1704416583000,"code":"b","matchRule":"","updateUser":"admin","id":1463681158662402049,"indNo":3,"isActive":1,"keyword":"","desc":"二羟丙茶碱"},{"formItemId":1463680828004446209,"isDefault":0,"updateDate":1704416583000,"code":"c","matchRule":"","updateUser":"admin","id":1463681159320907778,"indNo":4,"isActive":1,"keyword":"","desc":"胆茶碱"},{"formItemId":1463680828004446209,"isDefault":0,"updateDate":1704416583000,"code":"d","matchRule":"","updateUser":"admin","id":1463681159983607809,"indNo":5,"isActive":1,"keyword":"","desc":"茶碱乙醇胺"},{"formItemId":1463680828004446209,"isDefault":0,"updateDate":1704416583000,"code":"e","matchRule":"","updateUser":"admin","id":1463681160734388226,"indNo":6,"isActive":1,"keyword":"","desc":"思普菲林"},{"formItemId":1463680828004446209,"isDefault":0,"updateDate":1704416583000,"code":"f","matchRule":"","updateUser":"admin","id":1463681161397088258,"indNo":7,"isActive":1,"keyword":"","desc":"恩丙茶碱"},{"formItemId":1463680828004446209,"isDefault":0,"updateDate":1704416583000,"code":"oth","matchRule":"","updateUser":"admin","id":1463681162055593985,"indNo":8,"isActive":1,"keyword":"","desc":"其他药物"}]'><div style="display:inline-block;width:35%;" title="CAC-7-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>茶碱制剂种类</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680828004446209" itemCode="CAC-7-1-2"><a id="1463680828004446209_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680828004446209_Note"></span></div><div class="itemTR" id="1463680829845745665_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CAC-7-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他茶碱制剂</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680829845745665" itemCode="CAC-7-1-2-1"><a id="1463680829845745665_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680829845745665_Note"></span></div><div class="itemTR" id="1463680831728988161_Row" dic='[{"formItemId":1463680831728988161,"isDefault":0,"updateDate":1704416570000,"code":"def","matchRule":"","updateUser":"admin","id":1463681163401965570,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463680831728988161,"isDefault":0,"updateDate":1704416570000,"code":"a","matchRule":"","updateUser":"admin","id":1463681164098220033,"indNo":2,"isActive":1,"keyword":"","desc":"口服"},{"formItemId":1463680831728988161,"isDefault":1,"updateDate":1704416570000,"code":"b","matchRule":"","updateUser":"admin","id":1463681164790280193,"indNo":3,"isActive":1,"keyword":"","desc":"静脉"}]'><div style="display:inline-block;width:35%;" title="CAC-7-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>用药途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680831728988161" itemCode="CAC-7-1-3"><a id="1463680831728988161_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680831728988161_Note"></span></div><div class="itemTR" id="1463680833545121793_Row" dic='[{"formItemId":1463680833545121793,"isDefault":0,"updateDate":1704416716000,"code":"y","matchRule":"","updateUser":"admin","id":1463681166300229633,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463680833545121793,"isDefault":1,"updateDate":1704416716000,"code":"n","matchRule":"","updateUser":"admin","id":1463681167000678402,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CAC-7-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否监测茶碱血药浓度</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463680833545121793" itemCode="CAC-7-1-4"></div><a id="1463680833545121793_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680833545121793_Note"></span></div><div class="itemTR" id="1463680835352866818_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CAC-7-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>茶碱血药浓度(μg/ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680835352866818" itemCode="CAC-7-1-5"><a id="1463680835352866818_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680835352866818_Note"></span></div></div><div class="itemCat" id="Title8" onclick="objScreen.toggle('CAC-8: 抗菌药物使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CAC-8: 抗菌药物使用情况</div><div title="CAC-8: 抗菌药物使用情况"><p title="入院后实施首次抗菌药物相关的检查" class="itemsubCat">入院后实施首次抗菌药物相关的检查</p><div class="itemTR" id="1463680837156417538_Row" dic='[{"formItemId":1463680837156417538,"isDefault":1,"updateDate":1704416996000,"code":"y","matchRule":"","updateUser":"admin","id":1463681168422547458,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463680837156417538,"isDefault":0,"updateDate":1704416996000,"code":"n","matchRule":"","updateUser":"admin","id":1463681169483706370,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CAC-8-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否入院后实施首次实验室检查评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463680837156417538" itemCode="CAC-8-1-1"></div><a id="1463680837156417538_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680837156417538_Note"></span></div><div class="itemTR" id="1463680839412953090_Row" dic='[{"formItemId":1463680839412953090,"isDefault":1,"updateDate":1704417006000,"code":"a","matchRule":"","updateUser":"admin","id":1463681170846855169,"indNo":1,"isActive":1,"keyword":"","desc":"外周血常规：包括白细胞、中性粒细胞百分比、嗜酸细胞百分比、血红蛋白、血小板等"},{"formItemId":1463680839412953090,"isDefault":0,"updateDate":1704417006000,"code":"b","matchRule":"","updateUser":"admin","id":1463681171522138113,"indNo":2,"isActive":1,"keyword":"","desc":"红细胞沉降率(ESR)"},{"formItemId":1463680839412953090,"isDefault":0,"updateDate":1704417006000,"code":"c","matchRule":"","updateUser":"admin","id":1463681172239364097,"indNo":3,"isActive":1,"keyword":"","desc":"C反应蛋白(CRP)浓度"},{"formItemId":1463680839412953090,"isDefault":0,"updateDate":1704417006000,"code":"d","matchRule":"","updateUser":"admin","id":1463681172923035649,"indNo":4,"isActive":1,"keyword":"","desc":"血清降钙素原(PCT)浓度"},{"formItemId":1463680839412953090,"isDefault":0,"updateDate":1704417006000,"code":"oth","matchRule":"","updateUser":"admin","id":1463681173686398978,"indNo":5,"isActive":1,"keyword":"","desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CAC-8-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室检查评估</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463680839412953090" itemCode="CAC-8-1-2"></div><a id="1463680839412953090_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680839412953090_Note"></span></div><div class="itemTR" id="1463680841245863937_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CAC-8-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他实验室检查评估</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680841245863937" itemCode="CAC-8-1-2-1"><a id="1463680841245863937_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680841245863937_Note"></span></div><div class="itemTR" id="1463680843103940609_Row" dic='[{"formItemId":1463680843103940609,"isDefault":1,"updateDate":1704417038000,"code":"y","matchRule":"","updateUser":"admin","id":1463681175032770562,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463680843103940609,"isDefault":0,"updateDate":1704417038000,"code":"n","matchRule":"","updateUser":"admin","id":1463681176995704833,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CAC-8-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否入院后实施首次胸部影像学检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463680843103940609" itemCode="CAC-8-1-3"></div><a id="1463680843103940609_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680843103940609_Note"></span></div><div class="itemTR" id="1463680846513909762_Row" 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id="1463680868877938690_Note"></span></div><div class="itemTR" id="1463680870673100801_Row" dic='[{"formItemId":1463680870673100801,"isDefault":0,"updateDate":1700188352000,"code":"def","id":1463681237032972290,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463680870673100801,"isDefault":0,"updateDate":1700188352000,"code":"a","id":1463681237691478018,"indNo":2,"isActive":1,"desc":"C1-红霉素(erythromycin)"},{"formItemId":1463680870673100801,"isDefault":0,"updateDate":1700188352000,"code":"b","id":1463681238370955265,"indNo":3,"isActive":1,"desc":"C2-罗红霉素(roxithromycin)"},{"formItemId":1463680870673100801,"isDefault":0,"updateDate":1700188352000,"code":"c","id":1463681239075598337,"indNo":4,"isActive":1,"desc":"C3-阿奇霉素(azithromycin)"},{"formItemId":1463680870673100801,"isDefault":0,"updateDate":1700188352000,"code":"d","id":1463681239742492673,"indNo":5,"isActive":1,"desc":"C4-克拉霉素(clarithromycin)"},{"formItemId":1463680870673100801,"isDefault":0,"updateDate":1700188352000,"code":"oth","id":1463681240459718657,"indNo":6,"isActive":1,"desc":"其他大环内酯类抗菌药（请用10个字说明药物的“通用名”）"}]'><div 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id="1463680873491673089_Note"></span></div><div class="itemTR" id="1463680875332972545_Row" 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title="CAC-8-3-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>喹诺酮类抗感染药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680875332972545" itemCode="CAC-8-3-2-4"><a id="1463680875332972545_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680875332972545_Note"></span></div><div class="itemTR" id="1463680877149106177_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CAC-8-3-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其它喹诺酮类抗感染药物名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680877149106177" itemCode="CAC-8-3-2-4-1"><a id="1463680877149106177_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680877149106177_Note"></span></div><div class="itemTR" 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id="1463680885059563521_Note"></span></div></div><div class="itemCat" id="Title9" onclick="objScreen.toggle('CAC-9: 危重症患者使用机械通气情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CAC-9: 危重症患者使用机械通气情况</div><div title="CAC-9: 危重症患者使用机械通气情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463680886892474369_Row" dic='[{"formItemId":1463680886892474369,"isDefault":0,"updateDate":1700188352000,"code":"y","id":1463681261544484866,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463680886892474369,"isDefault":0,"updateDate":1700188352000,"code":"n","id":1463681262211379201,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CAC-9-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施机械通气</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463680886892474369" itemCode="CAC-9-1-1"></div><a id="1463680886892474369_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680886892474369_Note"></span></div><div class="itemTR" id="1463680888725385217_Row" dic='[{"formItemId":1463680888725385217,"isDefault":0,"updateDate":1700188352000,"code":"def","id":1463681263540973570,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463680888725385217,"isDefault":0,"updateDate":1700188352000,"code":"a","id":1463681264207867906,"indNo":2,"isActive":1,"desc":"意识障碍"},{"formItemId":1463680888725385217,"isDefault":0,"updateDate":1700188352000,"code":"b","id":1463681264857985025,"indNo":3,"isActive":1,"desc":"呼吸肌疲劳"},{"formItemId":1463680888725385217,"isDefault":0,"updateDate":1700188352000,"code":"c","id":1463681266015612930,"indNo":4,"isActive":1,"desc":"PaCO₂≥45mmHg"},{"formItemId":1463680888725385217,"isDefault":0,"updateDate":1700188352000,"code":"oth","id":1463681266695090177,"indNo":5,"isActive":1,"desc":"其他"},{"formItemId":1463680888725385217,"isDefault":0,"updateDate":1700188352000,"code":"UTD","id":1463681267361984513,"indNo":6,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CAC-9-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>机械通气应用指征</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680888725385217" itemCode="CAC-9-1-2"><a id="1463680888725385217_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680888725385217_Note"></span></div><div class="itemTR" id="1463680890562490370_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CAC-9-1-2-1" class="itemDescTD">其他机械通气应用指征</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680890562490370" itemCode="CAC-9-1-2-1"><a id="1463680890562490370_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680890562490370_Note"></span></div><div class="itemTR" id="1463680892361846785_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CAC-9-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者机械通气起始日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680892361846785" itemCode="CAC-9-1-3"><a id="1463680892361846785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680892361846785_Note"></span></div><div class="itemTR" id="1463680894345752577_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CAC-9-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者机械通气终止日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680894345752577" itemCode="CAC-9-1-4"><a id="1463680894345752577_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680894345752577_Note"></span></div><div class="itemTR" id="1463680896157691905_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CAC-9-1-5" class="itemDescTD">机械通气疗程（小时）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680896157691905" itemCode="CAC-9-1-5"><a id="1463680896157691905_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680896157691905_Note"></span></div></div><div class="itemCat" id="Title10" onclick="objScreen.toggle('CAC-10: 并发症/合并症处理情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CAC-10: 并发症/合并症处理情况</div><div title="CAC-10: 并发症/合并症处理情况"><p title="有肺动脉高压和右心功能不全" class="itemsubCat">有肺动脉高压和右心功能不全</p><div class="itemTR" id="1463680898007379970_Row" 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class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复计划</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680947307229186" itemCode="CM-5-2-9"><a id="1463680947307229186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680947307229186_Note"></span></div><div class="itemTR" id="1463680949114974209_Row" dic='[{"formItemId":1463680949114974209,"isDefault":0,"updateDate":1700188352000,"code":"def","id":1463681408038940674,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463680949114974209,"isDefault":1,"updateDate":1701949655000,"code":"a","updateUser":"batch","id":1463681409066545154,"indNo":2,"isActive":1,"desc":"患者强烈同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463680949114974209,"isDefault":0,"updateDate":1700188352000,"code":"b","id":1463681410756849666,"indNo":3,"isActive":1,"desc":"患者同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463680949114974209,"isDefault":0,"updateDate":1700188352000,"code":"c","id":1463681411826397186,"indNo":4,"isActive":1,"desc":"患者在离院时不理解医生护士的知情告知"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时的知情告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680949114974209" itemCode="CM-5-2-10"><a id="1463680949114974209_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680949114974209_Note"></span></div><div class="itemTR" id="1463680950931107841_Row" dic='[{"formItemId":1463680950931107841,"isDefault":0,"updateDate":1700188352000,"code":"def","id":1463681415131508738,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463680950931107841,"isDefault":1,"updateDate":1701949661000,"code":"a","updateUser":"batch","id":1463681416364634114,"indNo":2,"isActive":1,"desc":"患者给医院膳食评分9或10分"},{"formItemId":1463680950931107841,"isDefault":0,"updateDate":1700188352000,"code":"b","id":1463681417237049345,"indNo":3,"isActive":1,"desc":"患者给医院膳食评分7或8分"},{"formItemId":1463680950931107841,"isDefault":0,"updateDate":1700188352000,"code":"c","id":1463681419137069057,"indNo":4,"isActive":1,"desc":"患者给医院膳食评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>膳食评价</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680950931107841" itemCode="CM-5-2-11"><a id="1463680950931107841_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680950931107841_Note"></span></div></div><div class="itemCat" id="Title14" onclick="objScreen.toggle('CAC-14: 住院费用')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;CAC-14: 住院费用</div><div title="CAC-14: 住院费用"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463680952818544642_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680952818544642" itemCode="CM-6-1"><a id="1463680952818544642_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680952818544642_Note"></span></div><div class="itemTR" id="1463680954609512450_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680954609512450" itemCode="CM-6-2"><a id="1463680954609512450_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680954609512450_Note"></span></div><div class="itemTR" id="1463680956773773314_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680956773773314" itemCode="CM-6-3"><a id="1463680956773773314_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680956773773314_Note"></span></div><div class="itemTR" id="1463680958560546818_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680958560546818" itemCode="CM-6-4"><a id="1463680958560546818_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680958560546818_Note"></span></div><div class="itemTR" id="1463680960443789313_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680960443789313" itemCode="CM-6-5"><a id="1463680960443789313_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680960443789313_Note"></span></div><div class="itemTR" id="1463680962268311554_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680962268311554" itemCode="CM-6-6"><a id="1463680962268311554_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680962268311554_Note"></span></div><div class="itemTR" id="1463680964113805314_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680964113805314" itemCode="CM-6-7"><a id="1463680964113805314_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680964113805314_Note"></span></div><div class="itemTR" id="1463680965896384514_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680965896384514" itemCode="CM-6-8"><a id="1463680965896384514_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680965896384514_Note"></span></div><div class="itemTR" id="1463680967775432705_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680967775432705" itemCode="CM-6-9"><a id="1463680967775432705_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680967775432705_Note"></span></div><div class="itemTR" id="1463680969633509378_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680969633509378" itemCode="CM-6-10"><a id="1463680969633509378_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680969633509378_Note"></span></div><div class="itemTR" id="1463680972645019649_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680972645019649" itemCode="CM-6-11"><a id="1463680972645019649_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680972645019649_Note"></span></div><div class="itemTR" id="1463680974607953921_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680974607953921" itemCode="CM-6-12"><a id="1463680974607953921_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680974607953921_Note"></span></div><div class="itemTR" id="1463680976575082497_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680976575082497" itemCode="CM-6-13"><a id="1463680976575082497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680976575082497_Note"></span></div><div class="itemTR" id="1463680978407993345_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680978407993345" itemCode="CM-6-14"><a id="1463680978407993345_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680978407993345_Note"></span></div><div class="itemTR" id="1463680980203155458_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680980203155458" itemCode="CM-6-15"><a id="1463680980203155458_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680980203155458_Note"></span></div><div class="itemTR" id="1463680982107369473_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680982107369473" itemCode="CM-6-16"><a id="1463680982107369473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680982107369473_Note"></span></div><div class="itemTR" id="1463680983973834754_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680983973834754" itemCode="CM-6-17"><a id="1463680983973834754_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680983973834754_Note"></span></div><div class="itemTR" id="1463680985848688641_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680985848688641" itemCode="CM-6-18"><a id="1463680985848688641_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680985848688641_Note"></span></div><div class="itemTR" id="1463680989355126786_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680989355126786" itemCode="CM-6-19"><a id="1463680989355126786_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680989355126786_Note"></span></div><div class="itemTR" id="1463680991456473089_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680991456473089" itemCode="CM-6-20"><a id="1463680991456473089_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680991456473089_Note"></span></div><div class="itemTR" id="1463680993545236481_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680993545236481" itemCode="CM-6-21"><a id="1463680993545236481_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680993545236481_Note"></span></div><div class="itemTR" id="1463680996619661314_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680996619661314" itemCode="CM-6-22"><a id="1463680996619661314_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680996619661314_Note"></span></div><div class="itemTR" id="1463680998607761410_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463680998607761410" itemCode="CM-6-23"><a id="1463680998607761410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463680998607761410_Note"></span></div><div class="itemTR" id="1463681000432283649_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463681000432283649" itemCode="CM-6-24"><a id="1463681000432283649_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463681000432283649_Note"></span></div><div class="itemTR" id="1463681002382635009_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463681002382635009" itemCode="CM-6-25"><a id="1463681002382635009_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463681002382635009_Note"></span></div><div class="itemTR" id="1463681004328792066_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463681004328792066" itemCode="CM-6-26"><a id="1463681004328792066_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463681004328792066_Note"></span></div><div class="itemTR" id="1463681006258171905_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463681006258171905" itemCode="CM-6-27"><a id="1463681006258171905_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463681006258171905_Note"></span></div><div class="itemTR" id="1463681009307430913_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463681009307430913" itemCode="CM-6-28"><a id="1463681009307430913_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463681009307430913_Note"></span></div><div class="itemTR" id="1463681011375222785_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463681011375222785" itemCode="CM-6-29"><a id="1463681011375222785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463681011375222785_Note"></span></div><div class="itemTR" id="1463681013250076674_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463681013250076674" itemCode="CM-6-30"><a id="1463681013250076674_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463681013250076674_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息 </a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>CAC-1: 患者入院病情评估</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>CAC-2: 入住ICU/RCU情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>CAC-3: 氧疗使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>CAC-4: 雾化吸入治疗使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>CAC-5: 全身糖皮质激素治疗使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>CAC-6: 控制药物使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>CAC-7: 茶碱制剂使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>CAC-8: 抗菌药物使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title9'>CAC-9: 危重症患者使用机械通气情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title10'>CAC-10: 并发症/合并症处理情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title11'>CAC-11: 住院期间为患者提供健康教育与出院时提供教育告知五要素情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title12'>CAC-12: 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title13'>CAC-13: 患者对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title14'>CAC-14: 住院费用</a></li></ul></div>
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